Cuidados com Cateter Venoso Central de curta permanência nos setores de paciente crítico pela equipe de enfermagem: construção e validação de material educativo

Abstract

Objective: To build and validate an educational material on nursing care in maintaining and manipulating the short -stay central venous catheter in adult patients in critical care sectors. Method: Methodological, transverse study, with quantitative approach. The study was conducted at the Brotherhood Institution of the Santa Casa de Misericórdia of São Carlos, Philanthropic Hospital, in the city of São Carlos, located in the interior of the state of São Paulo. To achieve the established objectives, the study was conducted in steps: Step 1: Construction of educational material on maintenance and manipulation care with the short -term central venous catheter during assistance from adult patients in critical care sectors; Step 2: Process of Validation of Educational Material by Experts in The theme and Step 3: Submission of educational material to health professionals working in critical sectors of the institution. RESULTS: During step 1, the construction of educational material was performed on maintenance and manipulation care with the Short Permanence Central Venous Catheter. This material was built on the Canva® platform in its free version. 19 slides were built (including references). In step 2, there was the validation of educational material by theme experts. At first, an email invitation was sent to the key expert, with the link to sign the TCL, fill out the biographical and professional characterization form, to validate the material, and to indicate other possible experts according to the method described above, all through Google Forms®. In total, 20 invitation emails were sent, of which 8 answers were obtained. The validation of the material occurred from the SAM framework, with the application of the Delphi technique in a single step and after, the evaluation of the calculation of the IVC. All material items obtained satisfactory IVC (> 0.80), however, there were some descriptive suggestions that after the analysis of the authors were accepted. CONCLUSION: Since ICSRC are still seen as a major challenge in the sectors of critical patients, and that the nursing team, because it is more proximally to the patient and their devices, the purpose of the present study of creating and validating a material Educational on maintenance and manipulation of the central venous catheter has been reached. From the results obtained it was possible to identify measures considered essential for the prevention of IRAs, as well as the importance of hand hygiene, the exchange of dressings at the appropriate times, the importance of protocols and bundles for the insertion, stabilization and maintenance of catheters, And finally, the constant need to update and train the health team from permanent education strategies, using alternative pathways, such as remote teaching strategies, due to the present context of pandemic. The material created is expected to bring positive contributions to team knowledge and generate positive impacts on the institution's infections index. Still, it is worth mentioning the importance and the need for new studies on the creation of educational materials for the nursing staff, especially in the infections prevention.